Factors Predicting Health-Related Quality of Life in Patients with Type 2 Diabetes in Myanmar
Main Article Content
Abstract
Purpose: To investigate the predictive power of gender, type of treatment, comorbidity, and social support on health-related quality of life in patients with type 2 diabetes in Myanmar.
Design: Correlational predictive study.
Methods: A total of 100 patients with type 2 diabetes diagnosed for at least six months and came to follow-up at the Diabetes Clinic, Yangon General Hospital, Myanmar were recruited in the study. The research instruments included demographic data form, the WHO’s Quality of Life Brief questionnaire (WHOQoL-BREF), the Social-Support Questionnaire, and the Charlson Comorbidity Index (CCI). Data were analyzed with descriptive statistics and multiple regression
analysis.
Main findings: The findings showed that the participants mean age was 52.82 years (SD = 11.86). Overall, the participants had mild comorbidity ( = 1.45, SD = 1.04) and perceived moderate levels of social support ( = 19.31, SD = 5.26) and health-related quality of life ( = 77.92, SD = 11.40). In multiple regression analysis, gender, type of treatment, comorbidity, and social support jointly accounted for 16.2% of the variance in overall health-related quality of life
(R2 = .162, F(4,95) = 4.593, p < .001). Social support was the most important predictor of health-related quality of life (β = .298, p = .002), followed by female gender (β = -.211, p = .029).
Conclusion and recommendations: Worsen quality of life among type 2 diabetes patients in Myanmar could be predicted by low social support and female gender. Nurses and health care personnel should assess the patients’ needs for support in order to provide them supportive services during clinic visits. It is also important to pay attention to services provided to women with diabetes to optimize their quality of life.
Article Details
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References
2. Diabetes Ireland. Diabetes Ireland annual report 2014 [Internet]. Dublin, Ireland: Diabetes Ireland; 2014 [cited 2016 Apr 14]. Available from: http://etvmy10vxue40ekl72jx7hmv-wpengine.netdna-ssl.com/wp-content/uploads/2014/11/Annual-Report-20141.pdf.
3. Tint Swe Latt, Ko Ko Zaw, Ko Ko, Moh Moh Hlaing, Mya Ohnmar, Ei Sandar Oo, et al. National prevalence of diabetes and prediabetes in Myanmar (2014) [Internet]. Yangon, Myanmar: Myanmar Diabetes Association; 2016 [cited 2016 Apr 14]. Available from:
http://www.myanmardiabetes.org.mm/Assets/content/Diabetes%20in%20Myanmar.pdf.
4. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4-14.
5. Morales MC, Navas AF, Jimenez MFR, Ramos JMR. Health related quality of life in patients with type 2 diabetes mellitus in a rural area. J Diabetes Metab. 2015;6:7. doi:10.4172/2155-6156.1000572.
6. Bani-Issa W. Evaluation of the health-related quality of life of Emirati people with diabetes: integration of sociodemographic and disease-related variables. East Mediterr Health J. 2011;17(11):825-30.
7. Saleh F, Ara F, Mumu SJ, Hafez MA. Assessment of health-related quality of life of Bangladeshi patients with type 2 diabetes using the EQ-5D: a crosssectional study. BMC Res Notes. 2015 Sep 29;8:497. doi:10.1186/s13104-015-1453-9. PubMed PMID: 26420245; PMCID: PMC4588249.
8. Nay Zaw Htet. Diabetes-specific quality of life among type 2 diabetes mellitus patients in Yangon, Myanmar [master’s thesis]. Bangkok: Mahidol University; 2009. 82 p.
9. Zaw Zaw Aung. Quality of life of type 2 diabetes patients in Mandalay, Myanmar [master’s thesis]. Bangkok: Mahidol University; 2014. 87 p.
10. Zhan L. Quality of life: conceptual and measurement issues. J Adv Nurs. 1992;17(7):795-800.
11. Wan EY, Fung CS, Choi EP, Wong CK, Chan AK, Chan KH, et al. Main predictors in health-related quality of life in Chinese patients with type 2 diabetes mellitus. Qual Life Res. 2016;25(11):2957-65.
12. Tol A, Sharifirad G, Eslami A, Shojaeizadeh D, Alhani F, Tehrani MM. Analysis of some predictive factors of quality of life among type 2 diabetic patients. J Edu Health Promot. 2015 Feb 23;4:9. doi: 10.4103/2277-9531.151903. PubMed PMID: 25767820;
PubMed Central PMCID: PMC4355823.
13. Papazafiropoulou AK, Bakomitrou F, Trikallinou A, Ganotopoulou A, Verras C, Christofilidis G, et al. Diabetes-dependent quality of life (ADDQOL) and affecting factors in patients with diabetes mellitus type 2 in Greece. BMC Res Notes. 2015 Dec 15;8:786.
doi:10. 1186/s13104-015-1782-8. PubMed PMID: 26666403; PubMed Central PMCID: PMC4678457.
14. Alcubierre N, Rubinat E, Traveset A, Martinez-Alonso M, Hernandez M, Jurjo C, et al. A prospective crosssectional study on quality of life and treatment satisfaction in type 2 diabetic patients with retinopathy without other major late diabetic complications. Health Qual Life Outcomes. 2014 Aug 20;12:131. doi: 10.1186/s12955-014-0131-2. PubMed PMID: 25138117; PubMed Central PMCID: PMC4244048.
15. Co MA, Tan LS, Tai ES, Griva K, Amir M, Chong KJ, et al. Factors associated with psychological distress, behavioral impact and health-related quality of life among patients with type 2 diabetes mellitus. J Diabetes Complications. 2015;29(3):378-83.
16. Zhang P, Brown MB, Bilik D, Ackermann RT, Li R, Herman WH. Health utility scores for people with type 2 diabetes in U.S. managed care health plans: results from Translating Research Into Action for Diabetes (TRIAD). Diabetes Care. 2012;35(11):2250-6.
17. Hu F, Niu L, Chen R, Ma Y, Qin X, Hu Z. The association between social capital and quality of life among type 2 diabetes patients in Anhui province, China: a cross-sectional study. BMC Public Health. 2015 Aug 15;15:786. doi: 10.1186/s12889-015-2138-y.
PubMed PMID: 26276271; PubMed Central PMCID: PMC4542125.
18. Bourdel-Marchasson I, Druet C, Helmer C, Eschwege E, Lecomte P, Le-Goff M, et al. Correlates of healthrelated quality of life in French people with type 2 diabetes. Diabetes Res Clin Pract. 2013;101(2):226-35.
19. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60.
20. Myo Myint Naing, Nanthamongkolchai S, Munsawaengsub C. Quality of life of the elderly people in Einme Township Irrawaddy Division, Myanmar. Asia Journal of Public Health. 2010;1(2):4-10.
21. Sarason IG, Levine HM, Basham RB, Sarason BR. Assessing social support: the social support questionnaire. J Pers Soc Psychol. 1983;44(1);127-39.
22. Charlson ME, Pompei P, Ales KL, Mackenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373–83.
23. Lwe Say Paw Hla. Factors influencing adherence to therapeutic regimens in patients with type 2 diabetes mellitus in Yangon, Myanmar [dissertation]. Bangkok: Mahidol University; 2017. 227 p.
24. Brodaty H, Pond D, Kemp NM, Luscombe G, Harding L, Berman K, et al. The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc. 2002;50(3):530-4.
25. Kumar AS, Koppad R, Chandrashekar SV. Quality of life of type 2 diabetes patients in a tertiary care hospital in southern part of India, Shimoga, Karnataka: a cross-sectional study. Int J Community Med Public Health. 2016;3(7):1723-8.